<form class="form-horizontal" role="form" id="logistic_form" action="javascript:void(0);" method="post">
    <div class="form-group">
        <label for="bizOrderId" class="col-sm-2 control-label">订单ID</label>

        <div class="col-sm-10">
            <input type="text" id="bizOrderId" name="bizOrderId" class="form-control"
                   placeholder="订单ID" readonly="readonly" value="${data.bizOrderId}">
        </div>
    </div>
    <div class="form-group">
        <label for="districtName" class="col-sm-2 control-label">区域</label>

        <div class="col-sm-10">
            <select class="form-control" id="districtName" name="districtName"></select>
        </div>
    </div>
    <div class="form-group">
        <label for="buyerAddress" class="col-sm-2 control-label">收货地址</label>

        <div class="col-sm-10">
            <input type="text" id="buyerAddress" name="buyerAddress" class="form-control" placeholder="收货地址"
                   required
                   data-bv-notempty-message="收货地址" value="${data.buyerAddress}">
        </div>
    </div>
    <div class="form-group">
        <label for="buyerNick" class="col-sm-2 control-label">收货人</label>

        <div class="col-sm-10">
            <input type="text" id="buyerNick" name="buyerNick" class="form-control" placeholder="收货人"
                   required
                   data-bv-notempty-message="收货人" value="${data.buyerNick}">
        </div>
    </div>
    <div class="form-group">
        <label for="buyerMobile" class="col-sm-2 control-label">收货人号码</label>

        <div class="col-sm-10">
            <input type="text" id="buyerMobile" name="buyerMobile" class="form-control" placeholder="收货人号码"
                   required
                   data-bv-notempty-message="收货人号码" value="${data.buyerMobile}">
        </div>
    </div>
    <div class="form-group">
        <label for="reason" class="col-sm-2 control-label">发起原因</label>

        <div class="col-sm-10">
            <textarea id="reason" name="reason" placeholder="请写明原因"
                      class="form-control"></textarea>
        </div>
    </div>
</form>